Mario Bolivar, LCSW
NPI 1639304934 · Clinical Social Worker · Dallas, GA
Mario Bolivar, LCSW is a Clinical Social Worker provider in Dallas, GA (NPI 1639304934).
Provider details
- NPI number
- 1639304934
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1214 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-05-15
- Last updated
- 2009-05-15
Frequently asked questions
- What is Mario Bolivar's NPI number?
- Mario Bolivar's National Provider Identifier (NPI) is 1639304934, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mario Bolivar's specialty?
- Mario Bolivar is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Mario Bolivar located?
- Mario Bolivar's practice location on file with NPPES is 112 Creekside Dr, Dallas, GA 30157-7370.
- What is Mario Bolivar's phone number?
- The practice phone number listed in the NPPES registry for Mario Bolivar is (678) 237-1269.
- Is Mario Bolivar's NPI active?
- Yes — Mario Bolivar's NPI (1639304934) is active in the NPPES registry as of the last update on 2009-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.